| |
331 East Main Streest Rock Hill SC 29730 | |
(803) 529-0910 | |
Not Available |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 331 East Main Streest, Rock Hill, South Carolina |
Authorized Official Name and Position | Diana Alexandria Murray (OWNER/CLINICIAN) |
Authorized Official Contact | 8035290910 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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745 Elderberry Ln Columbia SC 29229-6836 Ph: (803) 529-0910 | 331 East Main Streest Rock Hill SC 29730 Ph: (803) 529-0910 |
NPI Number | 1437642824 |
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Provider Enumeration Date | 06/11/2018 |
Last Update Date | 06/16/2018 |
Identifier | Type | State | Issuer |
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1437642824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (South Carolina) | Primary |
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